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Avoid or limit the use of alcohol with metformin, due to an increased risk for side effects. Avoid excessive use of alcohol in any form. Alcoholic beverages can increase the risk of low blood sugar, or can cause increased blood sugar due to the calories in these beverages. Limit alcohol containing medicines and beverages if you beipackzettel are biogaia beipackzettel ciprofloxacin a patient with diabetes. If you use a blood sugar monitoring device, check your blood sugar regularly. Learn the signs and symptoms of high or low blood sugar, and know how you should treat these if they occur. Contact your health care provider immediately if you experience extreme weakness, increasing drowsiness, or difficulty breathing (heavy breathing, shortness of breath) which are symptoms of the more serious side effects of Metformin.


If you use tobacco or are trying to quit tobacco use, you may need to monitor your blood sugar more frequently. Nicotine, a component of tobacco, can increase the blood sugar. Also, if you are trying to quit smoking, as your body adjusts to not smoking, your blood sugar levels may change; the actions of Antidiabetic Agents (medicines used to treat diabetes) may be increased and this could lead to low blood sugar. Know the symptoms of low or high blood sugar and report them if they occur. Monitor your blood sugar regularly.


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